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Karmen Khari
2729 Clarkes Landing Drive
Oakton, VA 22124
(703) 859-3389

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Aug. 7, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
Today an announced initial visit was conducted with the Provider. This visit took place in the morning between 9:00am-11:15 there were 3 children with the Provider for a total of 8 points within the supervision guidelines. The children were observed having morning free play, dramatic play, lunch and in transition for nap time. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and provider records, fire drill log, and emergency procedures were observed during this inspection. If you have any questions, please e-mail me at Mayasah.Thomas@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation of the first aid kit, the following items were missing. Evidence: the triangular bandages were not found in first aid kit.

Plan of Correction: Provider will purchase or add to first aid kit.

Standard #: 22VAC40-111-890
Description: Based on interview with Provider, food is brought from home shall be clearly labeled to identify owner. Evidence: 3 lunch containers were found however they were not labeled with child's name.

Plan of Correction: Provider stated that she will inform parents that the lunch containers must be labeled.

Standard #: 22VAC40-111-110-A
Description: Based on review of the children records, some records did not include physical exam on the current VA health FORM. Evidence: 3 of the children records did not include documentation of a physical and immunization record on VA health form.

Plan of Correction: Provider will ask the parents to fill out the form and get back to her as soon as possible.

Standard #: 22VAC40-111-50-A
Description: Based on review of the attendance, the provider did not have written documentation of children in attendance each day. Evidence: No documentation of a daily attendance record.

Plan of Correction: Provider stated that she will start to complete it each day.

Standard #: 22VAC40-111-60-B
Description: Based on review of the children records, the following information was missing, two or more emergency contacts, parents employer address and phone number. Evidence: Child #1's record did not include documentation of the parents work address, two emgency contact persons address. Child #2's record did not include father's work address and phone number, and 1 emergency contact persons address and phone number. Child #3's record did not include parents work address, and two emergency contact persons address.

Plan of Correction: Provider will ask the parents to fill out the state sample form and get back to her as soon as possible.

Standard #: 22VAC40-191-40-C-1-a
Description: Based on review of the providers household records, the central registry checks were not completed upon completing application for licensure. Evidence: Household members #1 & #2 central registry checks were not completed.

Plan of Correction: Provider stated that she submitted them last week and is awaiting for them to be mailed back. Provider stated that she did not know she needed those.

Standard #: 63.2-1809.1-A
Description: Based on review of the children records, the family day home did not have documentation that written notice of liability insurance was provided to the parents. Evidence: Child #1-3's record did not include documentation of written notice of liability coverage was provided to parents.

Plan of Correction: Provider will ask the parents to fill out the form and get back to her as soon as possible.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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